appendix a

COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-1
APPENDIX A – FORMS
I.
DC-40, LIST OF ALLOWANCES
A.
Front
Office of the Executive Secretary
Department of Judicial Services
Rev: 7/16
COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-2
B.
Reverse
Office of the Executive Secretary
Department of Judicial Services
Rev: 7/16
COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-3
II.
DC-40A, APPLICATION FOR AND APPROVAL/DENIAL FOR WAIVER OF FEE
CAP
A.
Front
Office of the Executive Secretary
Department of Judicial Services
Rev: 7/16
COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-4
B.
Reverse
Office of the Executive Secretary
Department of Judicial Services
Rev: 7/16
COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-5
III. DC-51, ROTATION LIST COURT APPOINTED ATTORNEY
ATTORNEY
DEFENDANT
Office of the Executive Secretary
CASE NO.
DATE
APPOINTED
COMMENTS
VOUCHER
DATE
Department of Judicial Services
Rev: 7/16
COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-6
IV. DC-52, PUBLIC DEFENDER TIME SHEET
Office of the Executive Secretary
Department of Judicial Services
Rev: 7/16
COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-7
V.
DC-533, ASSESSMENT/PAYMENT ORDER
Office of the Executive Secretary
Department of Judicial Services
Rev: 7/16
COURT-APPOINTED COUNSEL PROCEDURES & GUIDELINES MANUAL
FORMS
PAGE A-8
VI. ATTORNEY TIME SHEET
Office of the Executive Secretary
Department of Judicial Services
Rev: 7/16